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Related Experiment Videos

Sustaining safe practice: twenty years on.

Susan Kippax1, Kane Race

  • 1National Centre in HIV Social Research, The University of New South Wales, NSW 2052, Sydney, Australia. s.kippax@unsw.edu.au <s.kippax@unsw.edu.au>

Social Science & Medicine (1982)
|May 20, 2003
PubMed
Summary

Gay men selectively use health information to maintain safe HIV practices, adapting strategies before and after highly active antiviral therapy (HAART). Understanding these choices requires a social public health approach valuing individual agency.

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Area of Science:

  • Public Health
  • Social Sciences
  • Medical Anthropology

Background:

  • Populations at risk of HIV integrate medical and social science knowledge.
  • Gay men have historically adapted risk-reduction strategies based on available information.
  • The advent of highly active antiviral therapy (HAART) in 1996 significantly altered HIV risk management.

Purpose of the Study:

  • To examine how at-risk populations, particularly gay men, adopt and adapt health knowledges and technologies.
  • To compare HIV risk-reduction strategies before and after HAART.
  • To advocate for a 'new' social public health that incorporates social science insights.

Main Methods:

  • Review of existing literature and studies on HIV risk and prevention.
  • Analysis of risk-reduction strategies employed by gay men and injecting drug users.

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  • Comparison of pre- and post-HAART responses to HIV risk.
  • Main Results:

    • Gay men selectively appropriate information enabling safe practices while avoiding difficult-to-maintain information.
    • Post-HAART, gay men in Australia employ considered, though not entirely safe, harm-reduction strategies.
    • Tensions exist between medical and social science approaches in public health.

    Conclusions:

    • Effective public health requires integrating social science concepts like agency and reflexivity.
    • Understanding how individuals incorporate medical knowledge into practice is crucial for public health interventions.
    • A 'new' social public health approach is needed to address complex risk behaviors.